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everett <br /> e . _ ���_�-� �= - -_ .:�� <br /> .� _ .� __::.� <br /> City of Everett <br /> Engineering Department <br /> Sewer Application and Permit <br /> r <br /> N0. G.L �� r ' DATE <br /> Service Address �� � � �/��� Utility Account No. <br /> Billing Address Connection Permit Fee <br /> City,State, Zip <br /> Connection Fee , <br /> C.�vn�r (Mortgagor� Total Fee <br /> Billing Name <br /> Connection By <br /> Address _ Signed c�:come� <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot�— Monthly Sewer Service_ — <br /> Block ��— <br /> ' Division or Addition Vlonihly Sewer Canstr. <br /> Trunk <br /> Type Permit: <br /> � Laterel_ <br /> Remarks: Abi::'ing Lot Line <br /> N S E W ft. <br /> Approved By <br /> City Engineer <br /> Issued By — <br /> Inspection By '�/�,,/ C/�'�-LL��."— <br /> Datelnspected � 7�� � <br /> 0 7 rr7 <br /> SEE SKETCH ATTACHED � N0. �O C; � <br /> ��r:SPFC�'I��I�� � <br /> --.�,_ . �__,._ <br /> �� : <br /> , <br />